To be completed on Site

Wireline Specific Lifting Plan

INSTALLATION / SHIP/ BARGE / OTHER (CIRCLE AS APPROPRIATE)

OTHER PLEASE STATE

LOCATION (MAIN DECK , REAR DECK, QUAYSIDE etc)

Weight of Lift (Kg / Tonnes) Permit Required YES / NOCategory1. Routine2. Non-Routine

YES / NOYES / NO

Risk Assessment Number

Present Position of Load Load Position on Completion of Lift Current Colour Code

Description of Lifting Operation

POSSIBLE Considerations (Not Exhaustive)

Weight Not Verified Language Barriers

High Centre of Gravity

Is Support Required from contractors/client?

Awkward size/ shape/ sharp edges

Insufficient crew numbers to carry out the task

No Dedicated Lifting Points

No Dedicated Rigging

Attaching & Detaching the Load

Conflicting Tasks in the area

Crew Familiarity with Operation

STOP Ten Questions If you can’t answer either, address in Step by Step Section YES N/A

1. Is the route clear of obstructions?

2. Can secondary rigging or fall arresters, be used?

3. Have barriers been positioned to prevent access by unauthorized personnel?

4. Have safe areas been identified for personnel within barriers?

5. Will the lifting Equipment Operator be able to see the Banksman throughout the operation?

6. If radios are to be used is there a dedicated channel, not in use by others, identified and available?

7. Can the speed of the lift be controlled/ limited?

8. Has the speed of the winch and reaction time been factored into minimum clash distance?

9.

10.

If you answered N/A to any of the Stop Ten Please expand on why in spaces below

STEP BY STEP DETAILS OF LIFTING OPERATION